We conducted a systematic review and meta-analysis to compare the efficacy and safety between laparoscopic reduction (LR) and open reduction (OR) of intussusception in infants and children. Literature searches were conducted to identify studies having compared LR and OR for children with intussusception failed to enema reduction. Parameters such as operative time, time to oral intake, length of hospital stay, overall postoperative complications, and recurrence were pooled and compared by meta-analysis. Among the 502 pediatric participants included in the 11 studies, 275 had received LR and 227 received OR. There were shorter length of hospital stays and time to oral intake with the LR approach compared with OR. However, no significant difference was found between LR and OR in the secondary outcome, such as the overall postoperative complications and recurrence. LR is a feasible, safe, and effective surgical procedure alternative to OR for pediatric intussusception. Compared with OR, LR has the advantage of shorter hospital stay and faster time to oral intake. Besides, the overall postoperative complications may be slightly lower in LR. We conclude that LR should be considered an acceptable option for children.

中文翻译：

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腹腔镜与婴儿和儿童肠套叠的开放复位：系统评价和荟萃分析。

我们进行了一项系统回顾和荟萃分析，以比较腹腔镜复位术 (LR) 和切开复位术 (OR) 治疗婴儿和儿童肠套叠的有效性和安全性。进行文献检索以确定对肠套叠儿童的 LR 和 OR 与灌肠减少失败进行比较的研究。汇总手术时间、进食时间、住院时间、总体术后并发症和复发等参数，并通过荟萃分析进行比较。在 11 项研究的 502 名儿科参与者中，275 名接受了 LR，227 名接受了 OR。与 OR 相比，LR 方法的住院时间和口服摄入时间更短。然而，在次要结果中，LR 和 OR 之间没有发现显着差异，如总体术后并发症和复发。LR 是替代 OR 治疗小儿肠套叠的一种可行、安全且有效的外科手术。与 OR 相比，LR 具有住院时间更短和进食时间更快的优势。此外，LR 的总体术后并发症可能略低。我们得出结论，LR 应该被视为儿童可以接受的选择。